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Tennessee rates for HCPCS L3003

Foot Insert Removable Molded To Patient Model Silicone Gel Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.96 / $94.96 / $103.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $97.95 / $177.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.75 / $189.96 / $189.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.84 / $149.11 / $149.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $108.85 / $149.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.79 / $977.65 / $977.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.91 / $1,056.91 / $1,537.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.20 / $101.37 / $140.94